APO

Question 1

what does this CPG treat?

Answer 1

cardiogenic APO secondary to CCF or LVF- non-cardiogenic or non symptomatic APO should not be treated under this guideline

Question 2

what should be done for non-cardiogenic APO?

Answer 2

includes smoke inhlation, drowning, and anaphylaxis
result of altered permiability and should b treated with supplimnetal oxygen and assited ventialtions - not requiring nitrates

Question 3

what are the contraindications to CPAP?

Answer 3

airway - inability to mange own airway (altered concious, active vomitting, excessive secretions

breathing - hypoventilation, untreated tension pnumothorax

circulation - heamodynaically unstable - sevre hypotension, vascular arythmias
others - injuries preventing mask application

Question 4

what are the indications to remove CPAP??

Answer 4

ineffective - cardiac resp arrest, intollerence, decreasing resp effort, nill improvment after an hour of treatemnt
deteriorating vitals
risk to paintent - loss of airway, copous secreations, active vommiting, paramedic judgment

Question 5

what is the treatment of symptometic cardiogenic pulmonary odeama?

Answer 5

sob and crackles
GTN 600mcg if SBP above 100
or 300 mcg if no previous admin, boaderline bp or small

repeate 300 or 6000 mcg at 5 mins titrated to pain/side effects

GTN path 50mg 0.4mg/hour upper torsoe - remove patch if BP falls below 100

Question 6

if there is no improvment after GTN or if there is full feild APO what is the treateent?

Answer 6

CPAP 10cm h20 - suction and assisted ventiations if required